HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALLAPPLI BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: IWI ( - Ci4(DI -
Date:
Planning and Developmen i t Services Building Permit Application SCANNEb
Building and Code Regulation Division BY
2300 Virginia Avenue, Fort Pierce FL 34992 St. Lucie Cotint%
Phone: (772)462-1553 Fax:(772)462-1578 Commercial X Residential
I
I PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line III
PROPOSED IMPROVEMENTLOCATION: III
Address: 1 '107 South 33rd Street, Fort Pierce
Legal Description:
Property Tax to #: 2417-214-0007-000-2
Site Plan Name:
Project Name:
Lot No.
Block No.
Setbacks Front Back:- Right Side: Left Side:
I.DETAILED DESCRIPTION OF WORK: III
Wire New Hood and Walk-in cooler, install 4 new exit lights. Install New Meter can riser and grounding
using existing 200amp disconnect and panel. Install New Service wire, clean up existing wiring.
I CONSTRUCTION INFORMATION: III
HVAC Gas Tank
Electric Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 1401C0 .410
Shutters []Windows/Doors
nklers Generator E] Roof = Roof pitch
S' Ft of First Floor:
Utilities. Sewer El Septic
Building Height:
i
OWNERAESSEE:
CONTRACTOR:
Name Thomas
Name: Edward June
-Cyril
Address-9360 101stAve
Company: Ed's Electric Inc
City: Vero Beach State:FL
Zip Code: 32967 Fax:
Phone N0.772 646-2215
Address: 6201 Oleander Ave
City: Fort Pierce State: FL
Zip Code: 34982 Fax: 772 467-1359
Phone No. 772 489-2196
E-Mail: bsscyril@hotmaii.com
Fill in fee simple Title Holder on next page I if different
from the Owner listed above)
E-Mail: kjune53288@aol.com
State or County License: ECO001 569
If value of construction is $2500 or more, a RECORDED Notice at Commencement is required.
I SUPPLEMENTAL CONSTRUICTION LIEN LAW INFORMATION: III
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: —State:
Zip: Phone: Zip: _ Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable B
N=ING COMPANY: —Not Applicable
Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.LucleCoun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co %ct with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I Will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencinE work or recordine vour Notice of Commencement. I
as
STATE OF FLORID4,-i— . 0 STATE OF Fl.
COUNTYOF - I A10-AP, � COUNTY OF.
The ing instr k wiedged before me The for . ng instgru nent was acknowledgeq �efore me
day of 1 20, U-by this 14-11 C
this(T' * _M5)W 1 DWYff 20 1U by
Personally Known _ OR Pror d t1tification
Tye�;Xu�ificat'LQn Produced- f! L
'Y�yc& MA_ U,
Commission No. 91_�
tr-t.. �W
Borded Ttu
Revised 07/15/2014
Personally Known \
Type of Identification
WRMMn No. FT
.J QTAPTV r
ML06
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS